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Organization
FRESH START RELATIONAL THERAPY
Active
Organization
FRESH START RELATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AQUANDALLA DAVIS (LICENSED MARRIAGE AND FAMILY THERAP)
(347) 394-9283
Entity
Organization
Contact information
Practice address
430 PARK AVE, NEW YORK, NY 10022-3505
(646) 598-4575
Mailing address
15511 115TH AVE, JAMAICA, NY 11434-1007
(347) 394-9283
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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